Lifestyle Before Medication

A pharmacist's perspective on health and metabolic disease

Is HOMA a useful measure?

The Journal of Insulin Resistance (edited by Jason Fung) has just published our article from my PhD looking at the repeatability characteristics of HOMA 2 measures. When I first started … Continue reading

October 31, 2017 · 2 Comments

The Dual Oscillation Model: Why insulin is secreted in a pulsatile fashion.

Along with many other experts, I see little value in measuring fasting insulin.  However, my reasons may differ to others.   One reason is that fasting insulin does not generally reflect … Continue reading

July 7, 2017 · 4 Comments

In response to Mac Mckenna: Taxing sugar does not discourage its use.

On Monday, the 2017 FIZZ (fighting sugar in soft-drinks) symposium was held in Auckland.  There was an overwhelming support for New Zealand to tax sugar-sweetened beverages.   Today, this opinion … Continue reading

June 30, 2017 · Leave a comment

“A bloody disgrace”: A message from Jamie Oliver to New Zealand politicians

The British celebrity chef Jamie Oliver recorded a message for the Auckland FIZZ symposium (Fighting sugar in softdrinks) held this week.  This message was recorded in his garden. You can … Continue reading

June 28, 2017 · 1 Comment

“Go back to first principles.”

At high school, I can remember having a bit of a struggle with calculus, so my Dad (a marine engineer) was helping me out.   The maths was a bit different … Continue reading

June 22, 2017 · Leave a comment

The dilemma of after hours health care.

Imagine – it is outside normal business hours and now someone in your household is quick unwell.  You knew they were unwell earlier in the day, but between your job/s, … Continue reading

June 1, 2017 · Leave a comment

Lessons from the World Masters Games 2017

I have just had the privilege of being a volunteer for the Orienteering World Masters Championships held in Auckland this week as part of the World Masters Games.    Anyone over … Continue reading

May 5, 2017 · Leave a comment

No ‘I’ in sex

Many years ago I had a traumatised young woman as a patient who had suffered a sexual assault because she was too scared to say no to the young man … Continue reading

March 24, 2017 · Leave a comment

Dr Joseph R. Kraft (1922-2017)

“If I have seen further it is by standing on the shoulders of giants” Kevin Kraft, Dr Joseph Kraft, and Catherine Crofts, Chicago. November 2014. Less than four years ago … Continue reading

February 22, 2017 · Leave a comment

Who has the right to discuss nutrition?

Many years ago I was certified to supply Xenical (orlistat) without a prescription.  Xenical is a weight loss drug that prevents about a third of the consumed fat from being … Continue reading

November 15, 2016 · Leave a comment